Envision Rehab – Orthopedic Physical Therapist, NPI 1225688567

Envision Rehab is a healthcare provider. based in Georgetown, Texas. specializing in Orthopedic Physical Therapist. The NPI Number for Envision Rehab is 1225688567

Main info

Organization
Name
Envision Rehab
NPI
1225688567
Phone
(512) 925-8857
Address
30126 DIAMOND DOVE TRL
Authorized Official
LANCE BERRY OWNER
Enumeration Date
18 September 2019
Last Update Date
29 May 2025
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness80
Years active:6State licenses:0Digital endpointsUpdated within 12 months

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Provider Addresses for Envision Rehab

  • 30126, Diamond Dove Trail, Georgetown, Williamson County, Texas, 78628, United States

    GEORGETOWN, TX 786283724

    Phone: (512) 925-8857

    Type: Mailing

  • 400, East Whitestone Boulevard, Cedar Park, Williamson County, Texas, 78613, United States

    CEDAR PARK, TX 786137073

    Phone: (512) 925-8857

    Type: Location

  • 436 MOHAWK DR

    EAST BURKE, VT 058324408

    Phone: (802) 323-2903

    Type: Mailing

  • 566 MEADOW ST

    LITTLETON, NH 035613603

    Phone: (802) 323-2903

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-05-28

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20250528002537OPhysical/Occupational Therapy Group In Private PracticeNHTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 78628)

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Reviews

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Frequently asked questions

How do I look up Envision Rehab by NPI?
Use NPI 1225688567 when you need to reference Envision Rehab in forms, claims, or directories.
Is Envision Rehab's NPI currently valid?
The extract we use shows Envision Rehab as active.
What field does Envision Rehab work in?
You can think of Envision Rehab as practicing within Orthopedic Physical Therapist. Clinical services aligned with this taxonomy classification.
What location shows for Envision Rehab?
We surface Georgetown, Texas for Envision Rehab based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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